Città e attrezzature pubbliche nella Venezia di Napoleone e degli Asburgo: le rappresentazioni cartografiche

19th-century maps of Venice are still one of the most detailed evidence of the long process of urban transformation that the French and Austrian governments carried out in the city since the beginning of the century. Using new representative methods developed in the second half of the previous century, early 19th-century maps could accurately define the process of functional conversion of Church properties into «containers» for modern community facilities, due to the suppression of the ecclesiastical orders. Reusing religious buildings as «public establishments» started in Venice a real urban and cultural revolution, reaching in about fifty years one of the most complete forms of reorganization of the city. Organizing interventions within a new urban planning process, the new governments applied a model that tended to standardize the structure of Italian and European cities according to functional criteria, inspired by modern ideas of «State», «city» and «public capabilities». Hence, the cartographic sources of the time – perspective views, cadastral maps and topographic plants – may show the chronological limits of this complex process of urban and architectural renewal

Analysis of patients' needs after liver transplantation in Tuscany: a prevalence study.

BACKGROUND: The reorganization of the healthcare system in Tuscany aims at characterizing the hospitals as a place for the treatment of acute patients. This event, together with the improvement of long-term survival after orthotopic liver transplantation (OLT), calls for a management network able to ensure effective continuity of care for patient needs in the posttransplantation period. MATERIALS AND METHODS: An observational study of prevalence has been carried out with the primary objective to evaluate patients' needs and criticalities both in routine daily life and in urgency in the posttransplantation period and the capacity of the regional health system to support them. A survey, using a semi-structured questionnaire consisting of 27 questions, was administered to all patients resident in Tuscany who underwent transplantation from 2000 to 2010. The survey tool assessed the following: socio-demographic data, personal, family and social difficulties, problems emerged in the clinical routine and urgency, resolution modality, relationships with the general practitioner and the referral specialist, and services the patients would appreciate receiving in their province of residence. RESULTS: In the study, 346 patients matched the inclusion criteria of the study, 324 gave telephone consent to participate in the survey, and 225 responded (69.4%). The most frequent difficulties were as follows: depression (39.5%), difficulty in returning to work (29.3%), low income (22.6%), lack of self-sufficiency (22.6%), addictions (19.1%) (cigarette smoking 16.4%), 12.4% eating disorders, and 18.9% other difficulties (social isolation, absence of a family network, and so on). The main reasons for dissatisfaction were as follows: difficulty to obtain the required laboratory tests and lack of a reference structure at the local health facility. Few patients have a referral specialists in their area and most of them primarily refer to the Transplant Center even late after the procedure. DISCUSSION: Early diagnosis of specific conditions (depression, addiction, and eating disorders) should be implemented in the follow-up period and services such as counselling, dietary support, rehabilitation, and social services should be provided locally. An integrated management system between the transplantation center and the local facilities (hospitals, general practitioners, primary care, and laboratories) should be implemented and referral specialized centers should be identified locally

The occurrence of postoperative vertigo after CI

Background. The incidence of postoperative vertigo after cochlear implantation (CI) varies a lot in the literature. The aim of this work was to investigate both subjective complaints of vertigo before and after cochlear implantation and related it to to the preoperative vestibular function, the surgical procedure and to the position of CI at the postoperative neuroradiological study. Methods. Retrospective cohort study of adult CI series operated by the same surgeon (DZ) over the last 3 years. (N= 107). Sixty-six subjects (38 F; 28 M), aged from 21 to 78 years old were included in the study, lasting 83 CI. The outcomes of the pre-operative vestibular assessment were extracted from the database of the Vestibular Disorders Unit of the tertiary referral University Hospital of Milano from 1992 to 2018 (N=557). Post-operative presence/absence of vestibular disorders was analyzed and related to the preoperative vestibular examination and to the flat-panel computed tomography (FPCT) findings. Results: The patients were divided by age and by the presence of vestibular response of the operated ear measured by videoculography, caloric testing and video-impulse test. Sensorial analysis by static posturography was also included. The incidence of postoperative vertigo was higher in patients > 65 years old (36.3% vs 20.4%, p=0.03). Postoperative vertigo did not result related to the surgical procedure. The results are discussed with the review of the literature. Conclusion: Our results confirm the importance of vestibular testing in CI recipients, in order to better counsel the patient on the foreseeable post-operative course and to identify those patients who will need a vestibular rehabilitation

Strategies to optimize the use of marginal donors in liver transplantation.

Liver transplantation is the treatment of choice for end stage liver disease, but availability of liver grafts is still the main limitation to its wider use. Extended criteria donors (ECD) are considered not ideal for several reasons but their use has dramatically grown in the last decades in order to augment the donor liver pool. Due to improvement in surgical and medical strategies, results using grafts from these donors have become acceptable in terms of survival and complications; nevertheless a big debate still exists regarding their selection, discharge criteria and allocation policies. Many studies analyzed the use of these grafts from many points of view producing different or contradictory results so that accepted guidelines do not exist and the use of these grafts is still related to non-standardized policies changing from center to center. The aim of this review is to analyze every step of the donation-transplantation process emphasizing all those strategies, both clinical and experimental, that can optimize results using ECD

Use of Elderly Donors in Liver Transplantation: A Paired-match Analysis at a Single Center

OBJECTIVE: To evaluate the use of elderly donors in liver transplantation (LT) and identify risk factors associated with a worse outcome. SUMMARY BACKGROUND DATA: Use of livers from very old donors could expand the donor pool but is not universally implemented. METHODS: This is a retrospective, single-center medical record review. From January 2001 to December 2014, 1354 LTs were performed. After exclusion of donors <18 years, ABO-incompatible LT, re-LT and UNOS 1 status patients, LT recipients were stratified into 2 groups based on donor age: 18-69 (n=692) vs. ≥70 years (n=515) then matched using a propensity score approach. Two groups were finally matched (young group = 448 cases; old group = 515 cases). RESULTS: The median (interquartile range [IQR]) follow-up was 5.0 (2.0-8.4) years. Comparing the 2 identified groups, no differences were observed regarding early retransplants (1.8 vs. 2.9; P = 0.3), HCV-related death (7.6 vs. 8.7%; P = 0.6), vascular (5.8 vs. 5.0%; P = 0.7), and biliary complications (16.5 vs. 18.6%; P = 0.4). On multivariate analysis, independent risk factors for graft loss were: HCV-positive recipient (HR = 2.1; 95% CI = 1.6-2.7; P < 0.001), donor age (HR = 1.0; 95% CI = 1.0-1.0; P < 0.001), cold ischemia time (HR = 1.0; 95% CI = 1.0-1.0; P = 0.042), and donor history of diabetes mellitus (HR = 1.48; 95% CI = 1.03-2.13; P = 0.036). CONCLUSIONS: Use of elderly donors is not associated per se with an increased risk of vascular and biliary complications. In the presence of cold ischemia time and diabetes mellitus, appropriate donor-to-recipient matching is warranted

Effect of eye lateralization on contralateral suppression of transient evoked otoacoustic emissions

Several studies have previously demonstrated that postural changes modify evoked otoacoustic emission. In order to evaluate a possible interaction between eye muscles and ciliated cells in the inner ear, we studied the effects of eye lateralization on the contralateral suppression of transient evoked otoacoustic emissions (TEOAEs). Thirty-eight normal hearing subjects with TEOAEs were recruited. Their TEAOEs at threshold level were recorded with contralateral suppression (white noise) via straight ahead fixation and right or left lateral fixation. Eye lateralization in the same direction of the white noise significantly decreased the suppression at 4 kHz (p = 0.003). The signal-to-noise ratio in the suppression condition with straight ahead was 1.54 (± 4.610) dB, while the ratio was 3.48 (± 4.631) dB in the suppression condition with gaze toward the white noise. Eye lateralization seems to reduce the contralateral suppression effect of TEOAEs at 4 kHz. However, further studies are necessary to investigate the possible mechanisms of this phenomenon

On the feasibility of the use of wind SAR to downscale waves on shallow water

n recent years, wave reanalyses have become popular as a powerful source of information for wave climate research and engineering applications. These wave reanalyses provide continuous time series of offshore wave parameters; nevertheless, in coastal areas or shallow water, waves are poorly described because spatial resolution is not detailed. By means of wave downscaling, it is possible to increase spatial resolution in high temporal coverage simulations, using forcing from wind and offshore wave databases. Meanwhile, the reanalysis wave databases are enough to describe the wave climate at the limit of simulations; wind reanalyses at an adequate spatial resolution to describe the wind structure near the coast are not frequently available. Remote sensing synthetic aperture radar (SAR) has the ability to detect sea surface signatures and estimate wind fields at high resolution (up to 300?m) and high frequency. In this work a wave downscaling is done on the northern Adriatic Sea, using a hybrid methodology and global wave and wind reanalysis as forcing. The wave fields produced were compared to wave fields produced with SAR winds that represent the two dominant wind regimes in the area: the bora (ENE direction) and sirocco (SE direction). Results show a good correlation between the waves forced with reanalysis wind and SAR wind. In addition, a validation of reanalysis is shown. This research demonstrates how Earth observation products, such as SAR wind fields, can be successfully up-taken into oceanographic modeling, producing similar downscaled wave fields when compared to waves forced with reanalysis wind

SOHLH1 and SOHLH2 control Kit expression during postnatal male germ cell development

How Kit expression is regulated in the germline remains unknown. SOHLH1 and SOHLH2, two bHLH transcription factors specifically expressed in germ cells, are involved in spermatogonia and oocyte differentiation. In the male, deletion of each factor causes loss of Kit-expressing spermatogonia in the prepuberal testis. In the female, SOHLH1 and SOHLH2 ablations cause oocyte loss in the neonatal ovary. To investigate whether Kit expression is regulated by these two factors in male germ cells, we examined SOHLH1 and SOHLH2 expression during fetal and postnatal mouse development. We found a strong positive correlation between Kit and the two transcription factors only in postnatal spermatogonia. SOHLH2 was enriched in undifferentiated spermatogonia, whereas SOHLH1 expression was maximal at Kit-dependent stages. Expression of SOHLH1, but not SOHLH2, was increased in postnatal mitotic germ cells by treatment with all-trans retinoic acid. We found that E-box sequences within the Kit promoter and its first intron can be transactivated in transfection experiments overexpressing Sohlh1 or Sohlh2. Co-transfection of both factors showed a cooperative effect. EMSA experiments showed that SOHLH1 and SOHLH2 can independently and cooperatively bind an E-box-containing probe. In vivo co-immunoprecipitations indicated that the two proteins interact and overexpression of both factors increases endogenous Kit expression in embryonic stem cells. SOHLH1 was found by ChIP analysis to occupy an E-box-containing region within the Kit promoter in spermatogonia chromatin. Our results suggest that SOHLH1 and SOHLH2 directly stimulate Kit transcription in postnatal spermatogonia, thus activating the signaling involved in spermatogonia differentiation and spermatogenetic progression

When Two Coincidences are a Clue: A Retrospective Cohort Study Regarding the Incidence of Ruptured Tubal Pregnancies in a Northern Italy Hospital During the COVID-19 Pandemic

Background: Undiagnosed ectopic pregnancies are among the main gynecological emergencies, and hemorrhage from an ectopic pregnancy is still the leading cause of maternal mortality in the first trimester. During the first lockdown period in Italy (March–April 2020) and in March 2021 restrictive measures were issued by the Italian government, but their impact on the incidence of ruptured tubal pregnancies remains unknown. Methods: The purpose of this study was to evaluate the impact of restrictive measures for the COVID-19 outbreak on the incidence of ruptured tubal pregnancies at our referral center for endoscopic gynecologic surgery. In particular, the primary outcome was the comparison of the incidence of ruptured tubal pregnancies between the lockdown phases and the other months of the pandemic. For this retrospective cohort study we considered all women examined for tubal ectopic pregnancy at our emergency unit from 1 January 2019 to 30 April 2021. We divided patients into three groups according to the period they were referred to our center: 10 March 2019–10 March 2020 (Pre-Covid period); 11 March–4 May 2020 and 6 March–30 April 2021 (Lockdown periods); 5 May 2020–5 March 2021 (COVID-19 pandemic period without restrictive policies). We compared data acquired during the lockdown phases with data collected both before the COVID-19 pandemic and during the restriction-free COVID-19 period. Results: 31 of 85 women were diagnosed with a ruptured tubal pregnancy. The proportion of ruptured ectopic pregnancies was higher during the lockdown period than the other two periods combined (62.5% vs 30.4%, p = 0.016). Mean gestational age and beta-HCG levels showed the same tendency (7.31 ± 1.25 weeks vs 5.99 ± 1.28 weeks, p < 0.0001; 7392.56 ± 4337.50 mUI/mL vs 4188.36 ± 3235.95 mUI/mL, p = 0.001). There were no differences between the proportion of ruptured pregnancies during the whole COVID-19 pandemic and the months preceding it (45.7% vs 25.6%, p = 0.07). Conclusions: Our study demonstrated that restrictive lockdown policies for the containment of the COVID-19 outbreak are associated with an increased rate of ruptured extrauterine tubal pregnancies

Properties of Regge Trajectories

Early Chew-Frautschi plots show that meson and baryon Regge trajectoies are approximately linear and non-intersecting. In this paper, we reconstruct all Regge trajectories from the most recent data. Our plots show that meson trajectories are non-linear and intersecting. We also show that all current meson Regge trajectories models are ruled out by data.Comment: 30 pages, latex, 18 figures, to be published in Physical Review